| NPI | 1851583132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD.203847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT189798) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2010-12-02 |